Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1219 N 400 E, Logan, Utah |
Authorized Official Name and Position | Matthew Welter (PRESIDENT) |
Authorized Official Contact | 4357578943 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1915 E 13000 N Cove UT 84320-2130 Ph: (435) 757-8943 | 1219 N 400 E Logan UT 84341-2321 Ph: (435) 932-2025 |
NPI Number | 1619573490 |
---|---|
Provider Enumeration Date | 12/08/2020 |
Last Update Date | 01/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619573490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N Ste Xy, Logan, UT 84341 Phone: 435-757-1315 | |
Bridge Utah Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 E 100 N, Logan, UT 84321 Phone: 888-221-0423 Fax: 888-221-9816 | |